Low back pain (LBP) has a global impact on health and is a substantial contributor to long term disability. The economic burden of LBP is immense and it is advancing annually. Costs attributing to LBP in the United States is about $84.1 to $624.8 billion. Physical therapy is commonly recommended for those with LBP since it is linked to improved clinical outcomes. However, patient perceptions can influence how this treatment approach is perceived. It is unclear if these perceptions can influence outcomes for patients suffering from LBP. Therefore, the purpose of this study is to identify the factors associated with positive or negative perceptions of physical therapy care in those with LBP. This was accomplished by developing and administering a comprehensive Qualtrics survey to participants in the Orlando area. Participants who took the survey were screened for eligibility requirements with exclusion criteria being those from vulnerable populations including pregnant women, minors, prisoners, and any person unable to provide informed consent. Screening, demographic, clinical, and perception questions were embedded within the online survey. Those who participated had to be 18 years or older, located within the Orlando area, able to provide informed consent, and speak English. Results from the data identified the five top key indicators which included clear explanation by the physical therapist on the treatment plan, how clear the physical therapist is in explaining the problem, friendliness of the physical therapist, patients perceive physical therapy is very effective in treatment of knee, and patients perceive physical therapy is very effective in treatment of lower back.

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The purpose of this study was to investigate the effectiveness of Kinesio-Taping (KT) in golf-induced chronic low-back pain management. The golfing population continues to grow each year, and the risks of golf-induced chronic low back pain (CLBP) remain high. The Kinesio-taping technique is a non-invasive treatment intervention utilized in sports injury rehabilitation and prevention. Due to the lack of research on KT in golf-related injuries, this study addresses the injury mechanism of golf-induced CLBP and the proposed physiological mechanism and therapeutic effects on the musculoskeletal system of KT. This study is a comprehensive review of the golf swing, prevalence and risk factors of golf induced CLBP, treatment modalities for non-specific low back pain, and the use of KT in sports medicine and healthcare settings. The target population of this study includes active adults and older adults who are at risk or currently experiencing CLBP and those who may golf professionally or recreationally. The literature search (February- October 2022) was performed using multiple databases, including UCF Libraries, PubMed, GoogleScholar, SagePub, ScienceDirect, and Ebscohost. Keywords employed by this research include "low back*" "golf*" or "golf swing*" "Kinesio-tape*" or "Kinesio-taping*" and "pain*" or "injury*". Search results were carefully screened, and relevant literature was selected for this study. A total of 78 scientific studies were included in this review. This literature review found insufficient empirical evidence to support the application of KT in golf-induced low back pain management. Although the subjects' contextual effects should not be overlooked, the reasoning behind how KT physiologically affects target injury sites remains unclear. Further research is suggested to examine the effectiveness of KT in treating golf induced CLBP.

Bakgrund: Smärta som lokaliseras till ländryggen drabbar upp till 80% av alla människor någon gång under livet och är således ett stort problem för både individ och samhälle. Manuell terapi (MT) och olika typer av träningsinterventioner (TI) är två vanligt förekommande behandlingar som fysioterapeuter världen över använder sig av. Långtidseffekten av manuell terapi är ett relativt outforskat område vilket denna litteraturstudie hoppas kunna bidra med ny kunskap till. Syfte: Att undersöka och sammanställa manuella terapiers långtidseffekter på ospecifik ländryggssmärta (LBP) i jämförelse mot olika träningsinterventioner. Kvalitetsgranska inkluderade studier med PEDro samt bedöma tillförlitligheten med GRADEstud. Metod: Genomförande av en systematisk litteraturöversikt genom formulering av PICO. Systematisk sökning i databaserna Pubmed och PEDro. Totalt inkluderades 7 studier som kvalitetsbedömdes med PEDro och granskades med GRADEstud för bedömning av resultatens tillförlitlighet. Resultat: Kvaliteten enligt PEDro varierade mellan medelgod och hög. Samtliga studier observerade positiva effekter av både manuell terapi och träningsinterventioner. 5 av 7 studier fann en signifikant skillnad vid kortidsuppföljning och 2 av 3 studier fann signifikanta långtidseffekter. Den sammanvägda tillförlitligheten till resultatet enligt GRADEstud ansågs vara av mycket låg (+) till låg (++) kvalitet. Slutsats: Resultatet i studien pekar på att både MT och TI kan ha positiva effekter gällande smärtlindring på både kort och lång sikt med svag evidens. Mer högkvalitativ och homogen forskning behövs inom området innan tydliga och välgrundade rekommendationer kan göras. / Background: Low back pain (LBP) affects up towards 80% of people during their life and constitute a problem for both the individual and society. Manual therapy (MT) and different exercise interventions are two common interventions used by physiotherapists. The long-term effect of manual therapy is a rather unstudied area, which this study aims to contribute to with new information. Objective: To research and compile manual therapy’s long-term effects on non-specific low back pain compared to different types of exercise interventions. Also examine the quality of included studies using PEDro and to assess the reliability using GRADEstud. Method: This systematic review implemented and structured questions according to PICO. A systematic search through two databases, Pubmed and PEDro. A total of 7 studies where included whose quality was assessed using PEDro. GRADEstud was used to assess the reliability. Results: The quality of the studies ranged through average to high quality. All studies observed positive effects of both manual therapy and exercise interventions. 5 out of 7 studies found significant differences on short-term outcomes while 2 out of 3 found significant long-term differences. The reliability was considered low (++) to very low (+). Conclusion: The result of this systematic review indicates that both manual therapy and exercise interventions can produce positive effects on pain in short and long-term outcomes with low quality evidence. More high-quality evidence and homogenous research is needed on this area before any clear or well-grounded recommendations can be made.

The second most common lumbosacral diagnosis in the United States is a herniation or prolapse of the intervertebral disc. Individuals with herniated discs can have a wide variety of clinical presentations, ranging from asymptomatic to severe spinal cord compression and pain. Studies suggest that an individual’s pre-existing perception of a condition is likely to influence their course of recovery. Currently, perceptions the general public holds regarding the consequences of disc herniation is unknown. Therefore, the purpose of this study was to assess current views regarding disc herniations in the general population with their reported prevalence and clinical outcome. This was determined via an electronic Qualtrics survey. This survey included demographic questions, medical history questions, disk herniation perception questions, and coping/resilience questions. Upon conclusion of survey administration, data analysis was performed via JASP. A key finding of this study was that resilience levels play a major role in participant’s views on herniated intervertebral discs (p=0.040). Participants with greater resilience levels had views on disc herniations that were more consistent with the findings in the literature (p=0.018). This may implicate low resilience levels in negative catastrophizing, which can impair the recovery process for patients. Due to this, healthcare providers should further consider a patient’s mental characteristics such as resilience and coping style when administering treatment. By further educating patients on their specific prognosis for a disc herniation, providers may be able to improve their overall perception of herniated discs, leading to a possible improvement in outcome.

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